Individual
DR. EUGENE JOSEPH DESTEFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
283 HURLEY AVE, KINGSTON, NY 12401-2421
(845) 331-7089
(845) 331-7593
Mailing address
283 HURLEY AVE, KINGSTON, NY 12401-2421
(845) 331-7089
(845) 331-7593
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
040732-1
NY
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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